Claims Associate

3 weeks ago

Pune, India Digit Insurance Full time

Claims Associate Non-Medical Assessment

Company: GoDigit General Insurance

Department: Health Claims – Non-Medical Assessment

Educational Qualification: B. Pharma, M. Pharma, Pharma D

Position Overview

The Claims Associate – Non-Medical will be responsible for processing health insurance claims efficiently and accurately while maintaining high standards of productivity, quality, and compliance. This role involves close coordination with internal teams to support timely claim closures and customer satisfaction.

Key Responsibilities

  • Productivity & TAT Adherence:
     Ensure consistent achievement of assigned productivity targets within defined Turnaround Time (TAT) guidelines.
  • Cross-Team Coordination:
     Coordinate with internal stakeholders and cross-functional teams to resolve queries, enhance workflow efficiency, and enable timely claim closures.
  • Proactive Performance Management:
     Take accountability for individual performance, seek feedback, and proactively engage with the Team Lead or Process Head for support and process clarity.
  • Quality Assurance:
     Maintain high levels of accuracy and attention to detail to meet or exceed quality benchmarks for claims processing.
  • Audit Responsiveness:
     Take ownership of any audit feedback received and implement corrective actions promptly to ensure continuous improvement and compliance.

Experience & Qualifications

Experience: Fresher or prior exposure to claims processing or insurance domain will be an added advantage

Education: Graduate in any stream

Key Skills Required

  • Basic understanding of insurance or the healthcare domain (preferred)
  • Willingness to learn and adapt to internal systems and processes

Behavioral Competencies

  • Communication: Clear and prompt communication with internal stakeholders
  • Assertiveness: Confidence to raise concerns or seek help as needed
  • Proactiveness: Self-motivated with a drive to improve and achieve goals

Why This Role Matters

As a Claims Associate – Non-Medical, your role is fundamental in ensuring accurate and timely processing of health insurance claims, which directly impacts customer trust and operational efficiency. Your ability to stay detail-oriented, responsive, and accountable will contribute significantly to the overall performance of the claims team.

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